Debra Smothers-Champley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

900 W Springfield Rd
Taylorville, IL 62568-1213

Phone

(217) 824-4991

Fax

(217) 824-5414

NPI assigned

May 24, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Illinois Optometric Associates LTDGroup PAC ID 7618886318, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsc2020@adveyecare.eyefinity-direct.com
• Direct secure messaging: dsmotherschampley@adveyecare.eyefinitydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Illinois Optometric Associates LTD

  dba Advanced Eyecare of Taylorville

  • Optometrist
  • Taylorville, IL
  • NPI 1427174275
  Medicare reassignment Care Compare group NPD
• Central Illinois Optometric Associates LTD

  dba Advanced Eyecare of Lincoln

  • Optometrist
  • Lincoln, IL
  • NPI 1427174960
  NPD Authorized official
• Central Illinois Optometric Associates LTD

  dba Advanced Eyecare of Carlinville

  • Optometrist
  • Carlinville, IL
  • NPI 1851417513
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144223983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W SPRINGFIELD RD",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681213",
            "telephone_number": "217-824-4991",
            "fax_number": "217-824-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SPRINGFIELD RD",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681213",
            "telephone_number": "217-824-4991",
            "fax_number": "217-824-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS-CHAMPLEY",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Rickman, MPH, RDN, LDN
• Alison Ritter
• Patricia A. Schneider, FNP-BC
• Shelby County Community Services Inc
• Shoptikal LLC (Shopko Optical 4261)
• Specialized Hearing Solutions LLC
• Tess Leeann Spengler
• Springfield Clinic LLP (Springfield Clinic Taylorville Lab)
• Springfield Clinic, LLP
• Springfield Clinic, LLP

• Optometrist in Taylorville, IL
• Providers in Taylorville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.